Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $263.03	Professional		$97.72	$208.93	$263.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $524.81	Professional		$269.15	$354.81	$524.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $245.47	Professional		$147.91	$190.55	$245.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $269.15	Professional		$97.72	$199.53	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $169.82 / $234.42	Professional		$165.96	$169.82	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $194.98	Professional		$100.00	$120.23	$194.98